CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $77
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ohiohealth Morrow County Hospital is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.28x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$60.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $60.27 (100%)
Cash / Self-Pay: $133 (221%)
Insurance Median: $77 (128%)
Cash: $133 (221% of Medicare)
Ins. Median: $77 (128% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $60.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $29 - $157 48%
Medicaid / KanCare $29 48%
UnitedHealthcare $29 - $167 48%
Amerihealth Caritas - All Plans $30 50%
Humana $30 - $190 50%
Molina Exchange - All Other Plans $48 80%
Medicare (plans) $75 - $77 124%
Aetna $77 - $175 128%
Caresource Marketplace - All Other Plans $94 156%
Medical Mutual Of Ohio Marketplace $153 254%
Ohiohealthy Network - All Other Plans $153 254%
Ohiohealthy Preferred $153 254%
Medical Mutual Of Ohio Comm - All Other Plans $165 274%
Medical Mutual Of Ohio - Admin Serv $173 287%
Phcs - All Plans $188 312%
Cigna $192 319%
Multiplan - All Plans $194 322%
Healthstar Comm - All Plans $196 325%
Beech Street - All Plans $198 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals